Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $101.41 / $265.06	Facility		$98.11	$101.41	$265.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $99.09	Professional		$98.11	$98.11	$99.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $98.11 / $147.16	Facility		$83.39	$98.11	$147.16
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Professional		$98.11	$98.11	$98.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $101.81	Professional		$98.11	$98.11	$101.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $132.83	Professional		$98.11	$98.11	$132.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $101.41 / $265.06	Facility		$98.11	$101.41	$265.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $120.68	Professional		$98.11	$98.11	$120.68
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $92.55 / $98.11 / $98.11	Facility		$92.55	$98.11	$98.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $121.97	Professional		$98.11	$98.11	$121.97
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $146.71	Professional		$98.11	$98.11	$146.71